| | Physician Last Name: | Tallury |
| | Physician First Name: | Viswanathan |
| | Physician Middle Name: | Kasi |
| | Address: | 208 Ivy Lane
Englewood, New Jersey 07631 |
| | License Number: | 110073 |
| | License Type: | MD |
| | Year of Birth: |
1941
|
| | Effective Date: | 06/17/2004 |
| | Action Description for DOH Webpage: | The physician agreed that he would never either activate his registration to practice medicine in New York State or seek to reapply for a license to practice medicine in New York State.The physician is no longer prohibited from practicing medicine in any other jurisdiction, where the practice of medicine is not predicated on his New York State medical license.This order supercedes the September 18, 1998 temporary surrender order. |
| | Misconduct Description for DOH Webpage: | This order is not disciplinary in nature. |
| | License Limitations or Conditions for DOH Webpage: | |
| | Board Order: |
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